Well, Wednesday is the day I get the Fusion Guided Biopsy results and hopefully getting a definitive answer and what to do next. My PSA is at 15.6, Free PSA is at 6 and my PI-RADS v2 Assessment is 5. The MRI I had on 11/4 shows a lesion measuring 2.2 x 1.1 x 1.5 CM. All of this points to cancer. These last 2 weeks of waiting since the Biopsy has been HELL.

Assuming the worst I would love to be able to do the Proton treatment but the 6 to 8 weeks of treatment rules that out. Cyberknife sounds interesting since it is 2 to 5 days of treatment but I'm worried that the lesion is too large. Also the nearest hospital that does CyberKnife is San Francisco. I have to travel 3 hrs to get to a Urologist that I'm comfortable with for diagnosis but I'm 6+ hrs away from either Portland and San Francisco where I could find a MD to remove the cancer. Another option would be the LA area USC or UCLA since we have family there and my wife could stay with them if I need to get the Robotic Radical Prostatectomy do. My fear is with these distances what the heck do I do with followups; would I have to go the 6+ hrs or could the MD located 3 hrs away be able to do it?

Enough of my ranting,
@dandl48 Dave